潘 婷,任玉环

子宫内膜息肉（endometrial polyp，EP）是一种多发于育龄期及绝经期女性的子宫内膜（endometrium，EM）瘤样病变，患者可伴有阴道不规则出血、月经紊乱等症状，若未能接受及时有效的治疗，可演变为子宫出血、不孕等严重情形，降低女性患者生活质量[1]。它的发病机制目前尚不明确，在现阶段的研究中，主要考虑其与雌、孕激素受体(ER/PR)分布失衡、细胞增殖与凋亡失衡、内分泌紊乱、遗传学因素、炎症刺激等有关[2]。目前主要的治疗方式就是宫腔镜子宫内膜息肉切除术（transcervi- calresectionofpolyp，TCRP），但术后复发率高，因此结合术后辅助治疗是很有必要的。现阶段对子宫内膜息肉的治疗及预防仍在进展阶段，本文将综述其病因机制、治疗手段、术后辅助治疗措施，并重点介绍宫腔镜新技术——IBS系统的应用进展。

子宫内膜息肉；宫腔镜子宫内膜息肉切除术；IBS刨削系统；技术应用

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